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Systemic and local intestinal pharmacokinetics of irinotecan

Systemic and local intestinal pharmacokinetics of irinotecan - TOLERATE

Status
Recruiting
Phases
Unknown
Study type
Observational
Source
NL-OMON
Registry ID
NL-OMON56972
Enrollment
10
Registered
2024-06-12
Start date
2025-09-08
Completion date
Unknown
Last updated
2026-03-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Colorectal cancer, colorectal carcinoma, pancreas carcinoma

Interventions

None listed

Sponsors

Catharina Ziekenhuis
Lead Sponsor

Eligibility

Age
18 Years to 64 Years

Inclusion criteria

Inclusion criteria: • Pathologically confirmed malignancy for which treatment with irinotecan is indicated at a dosing regimen of >= 180 mg/m2 in 2- or 3-weekly treatment schedules. • Patients who will start with their first cycle of treatment with chemotherapy • Age >= 18 years • Able and willing to give written informed consent • Patient is able to temporarily store fecal samples in their freezer • WHO performance status 0-2 • Minimal acceptable safety laboratory values defined as: o ANC of >= 1.5 x 109 /L o Platelet count of >= 100 x 109 /L o Hepatic function as defined by serum bilirubin = 50 ml/min or creatinine

Exclusion criteria

Exclusion criteria: • Patients with recently performed intestinal surgery including colectomy • Patients with known substance abuse, psychotic disorders, and/or other diseases expected to interfere with study or the patient*s safety • Patients with either a ileostomy, ascending colostomy or transverse colostomy • Patients unable or unwilling to stop the use of (over the counter) medication or (herbal) supplements which can interact with irinotecan (e.g. by induction of inhibition of CYP3A4) • Patients with an inability to undergo additional blood sampling. • Patients with an inability to collect stool samples at home (e.g. disabilities or incontinency). • Patients with an inability to read and understand the informed consent form

Design outcomes

Primary

MeasureTime frame
The primary endpoint of the study is to describe the pharmacokinetics of irinotecan, SN-38 and SN-38G in plasma and in theintestines by using a pharmacokinetic compartment model

Secondary

MeasureTime frame
To determine the beta-glucuronidase activity in fecal samples by an enzym-activity assay

Countries

Netherlands

Contacts

Public ContactT.M.M. Böhm

Catharina Ziekenhuis

doortje.bohm@catharinaziekenhuis.nl040 239 87 97

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP) · Data processed: Mar 20, 2026